| NPI | 1346671252 |
|---|---|
| Former Name | NIKKI M. LANCASTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.010117) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.010117) |
| 101YP2500X Counselor, Professional (Licence: IL 180.010117) | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2021-12-09 |